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General NPI Number Information
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NPI Number | 1285664177
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITALS EAST COMMUNITIES
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 901 E 5TH ST
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City | WASHINGTON
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State | MO
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Zip | 63090-3127
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Country | US
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Telephone | 636-239-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 18057B
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City | SAINT LOUIS
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State | MO
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Zip | 63150-8057
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Country | US
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Telephone | 636-239-8000
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR FINANCE
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Name | MARK THORN
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Credential |
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Telephone | 636-528-3329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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